effects of resistive exercise or proprioceptive exercise training among patients with type 2 diabetes mellitus

Conditions: Type 2 Diabetes Mellitus

Summary: the aim of the study is to investigate proprioceptive exercises training combined with aerobic exercises and resistive exercises training combined with aerobic exercises on dynamic balance and superficial sense. the patients were randomly divided into proprioceptive exercise training group (pg) (n=15) and resistive exercise training group (rg) (n=15). all subjects were included exercise education program and both groups had trained aerobic exercise program for walking on treadmill (2times/wk. 6 week duration).

the aim of the study is to investigate proprioceptive exercises training combined with aerobic exercises and resistive exercises training combined with aerobic exercises on dynamic balance and superficial sense. the study included 30 volunteers with type 2 diabetes mellitus(t2dm) who were referred to fitness center arif nihat asya kültür merkezi istanbul, turkey by a medical doctor between december 2016- march 2017 and got diagnosed and followed up at least 6 month before. glycemic control of all the participants were assessed according to fasting blood glucose and glycolated hemoglobin (hba1c). waist and hip circumference was recorded in centimeters. six minute walking test (6mwt) was used to determine functional capacity of participants. we evaluated the dynamic balance of patients by prokin pk200, italy. five parameters were obtained from prokin as; perimeter length (pl), area gap percentade (agp) medium speed (ms), anteroposterior equilibrium (ap) and mediolateral equilibrium (ml). proprioception assessment was done with angle reproduction test in direction of dorsiflexion and plantar flexion and deviations were recorded. superficial sense was assessed with two point discrimination test and vibration threshold was evaluated by biothesiometer. lower extremity muscles strength were assessed with handheld dynamometer (powertrack ii commander, jtech medical, midvale, ut). the patients were randomly divided into proprioceptive exercise training group (pg) and resistive exercise training group (rg). all subjects were included exercise education program and both groups had trained aerobic exercise program for walking on treadmill (2times/wk. 6 week duration). the proprioceptive exercise program was applied in pg and the resistive exercise program was applied in rg twice a week and for duration 6 week.

Eligibility criteria:
inclusion criteria: * participating to the study in a voluntary basis * patients with 30-60 years old * getting diagnosed with type 2 diabetes mellitus (dm) at least 6 months. exclusion criteria: * unstable cardiac condition * uncontrolled diabetes mellitus * uncontrolled hypertension * symptomatic heart failure, unstable angina * peripheral arterial occlusive disease * diabetic foot ulcers * part/total foot amputation * myocardial infarction within 3 months prior to study * coronary artery bypass within 3 months prior to study * cerebrovascular ischemia/stroke (including tia) within 3 months of study * severe retinopathy, nephropathy * thyroid dysfunctions (hyperthyroidism, hypothyroidism).

Keywords: aerobic exercise dynamic balance functional capacity hba1c proprioceptive exercise training